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Games like Pathologic 3

2026USK 18PC, PlayStation, Xbox, Steam Deck playable80 % positive34.99 €

As the rationalist doctor Dankovsky, you try to beat death itself in a strange town ravaged by plague. Its new twist is time manipulation, letting you revisit and alter key events across twelve days, in an oppressive, narrative-heavy blend of horror and survival.

  • Post-apocalyptic setting
  • Resources and survival
  • Choices with consequences
  • Dialogue and role-playing
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More in these topics: Story-driven games Games with meaningful choices Games with unique art styles Survival games

In short: Games like Pathologic 3

Each of these 10 games shares something of what makes Pathologic 3 special. The reasons are listed right on each game.

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Not for me Exclude horror, turn-based combat, pixel art …

Games where this is clearly part of it are left out, no matter how well the rest fits.

Horror Turn-based combat High difficulty Roguelike runs Shooter Pixel art Grind Survival PvP Open world Card game

10 games with a similar feel, sorted by match · How is this calculated?

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Best match

The Long Dark

89 %Match

2017PEGI 16PC, PlayStation, Xbox, Nintendo Switch, Steam Deck verified88 % positive16.99 €

Fits your focus: Systems like Pathologic 3.

A lonely, unforgiving survival experience in the frozen Canadian wilderness after a geomagnetic disaster, where cold, hunger and wolves are your real enemies. Its painterly visuals and quiet atmosphere turn every trek into a tense, often melancholic journey.

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Similar games →

Chernobylite

  • Systems like Pathologic 3

A bleak survival horror adventure set in a photogrammetry-recreated Chernobyl Exclusion Zone, where a physicist hunts for his vanished fiancée. You scavenge zones, build up a base, recruit companions and plan toward a final heist, with choices you can even rewrite reshaping the story.

This War of Mine

  • Systems like Pathologic 3

Instead of soldiers, you guide a group of civilians through a besieged city, maintaining your shelter by day and scavenging dangerous ruins by night. Harsh moral dilemmas between survival and humanity make it a haunting, unforgettable experience.

System Shock

  • Systems like Pathologic 3

This remake of the cult classic leaves you alone on the Citadel space station, ruled by the deranged AI SHODAN. You explore sprawling interconnected levels, fight to survive, solve puzzles and piece together the story through audio logs in a bleak cyberpunk atmosphere.

Frostpunk

  • Systems like Pathologic 3

Lead the last city on a frozen, steam-powered Earth, juggling heat, coal and food while signing laws that test your morals. A bleak, tense city-builder where survival constantly clashes with humanity.

The Final Station

  • Systems like Pathologic 3

An atmospheric 2D side-scroller where you ride a train through a collapsing world, scavenge stations for supplies, fight off the infected, and keep your passengers alive. The shift between tense, ammo-scarce station raids and quiet train upkeep creates a bleak, oppressive mood.

Help Will Come Tomorrow

  • Systems like Pathologic 3

After a train wreck in the Siberian wilderness, you guide a group of survivors through hunger, cold and mistrust. Resource management and tough moral decisions decide who lasts until rescue arrives.

Beholder

  • Systems like Pathologic 3

As a state-appointed apartment manager in a totalitarian regime, you spy on tenants and make morally heavy decisions. Time, money and conscience are all scarce, and your choices lead to many different endings.

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